Case Presentation: An 80- year old immunocompetent Vietnamese man with hypertension, atrial fibrillation, and prostate cancer in remission was admitted for progressive vision loss and headaches. 6 weeks before presentation he began to have persistent, disabling left fronto-temporal headaches. 2 weeks prior he developed sudden left sided vision loss. Outpatient left temporal artery biopsy was [...]

Case Presentation: 59 year old man with hypertension initially presented to the hospital with bleeding, oral lesions. They developed four days prior to presentation. They manifested as bullae which eventually “popped” and bled. Patient had no other associated symptoms, including fever, chills, dizziness, chest pain, dyspnea, or irregular bleeding. He works as a city bus [...]

Case Presentation: A previously healthy, 20-year-old Caucasian male presented with worsening dyspnea after being diagnosed with pneumonia a week ago, and failed outpatient treatment with azithromycin. He denied sick contacts or recent travel; he endorsed vaping nicotine and THC oil once a week socially. On presentation, he was febrile to 100.8F, tachypneic to RR of [...]

Case Presentation: A 41-year-old male with a past medical history of chronic alcoholic pancreatitis and right-sided pancreatic pseudocyst presented with shortness of breath and right-sided chest pain that began three days prior. Chest X-ray showed near-complete opacification of the right hemithorax. A diagnostic thoracentesis revealed an exudative pleural effusion with a pleural amylase level of [...]

Case Presentation: A 73-year-old Caucasian male presented with worsening fatigue and dyspnea for several days. His comorbidities included remote history of essential thrombocytosis controlled with aspirin, hypertension, chronic kidney disease, and mitral valve repair. He was admitted to the medical ICU for acute hypoxic respiratory failure requiring mechanical ventilation. His physical exam was remarkable for [...]

Case Presentation: A 47-year-old female with no significant medical history, however, a strong family history of venous thromboembolism presented to the hospital after a witnessed episode of syncope. On presentation she was hemodynamically stable, saturating well on room air and in no active distress. Initial workup revealed elevation of troponin, BNP, and d-dimer. Electrocardiogram showed [...]

Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed [...]

Case Presentation: Ms. M is an 80 yo female with DM 2, COPD and gout, initially admitted to a tertiary care medical center in 2019 for sepsis of presumed urinary origin. She was treated with ceftriaxone and rapidly improved. Her urine culture and blood cultures from admission remained negative on hospital day 3, so she [...]

Case Presentation: A 45-year-old male with a past medical history of Myelodysplastic Syndrome, Atrial Fibrillation, and Type 2 Diabetes presented for evaluation of worsening diffuse, erythematous, and painful rash all over his body. The rash initially began 2 months ago and was biopsied at an outside hospital. The biopsy was read as a “dermal hypersensitivity [...]

Case Presentation: A 29-year-old male presented with a 1-week history of dyspnea, cough, fever, fatigue, myalgia, and chest pain. Medical history included hepatitis C and intravenous drug use with meth, heroin, and suboxone. His last use was 1 week prior to presentation with IV suboxone. Pertinent surgical history consisted of bioprosthetic mitral valve replacement x2. [...]